Pinyin: Shan Yao  Chinese: 山药
Pharmaceutical: Rhizoma Dioscoreae
Taxonomy: Dioscorea polystachya syn. batatas
English: Chinese Yam / Shu Yu

Tastes: Sweet, neutral
Meridians Entered: Spleen, Lung and Kidney

Actions & Indications:

1. Tonifies the Spleen, nourishes Stomach Yin and stops diarrhoea
   Spleen or Stomach Deficiency with diarrhoea, fatigue, spontaneous sweating and anorexia
2. Tonifies Lung Qi and nourishes Lung Yin
   Lung Qi and/or Yin Deficiency with chronic cough
3. Tonifies Kidney Yin and astringes Jing
   Kidney Qi Deficiency with spermatorrhea, urinary frequency and vaginal discharge
   消渴 Xiao Ke due to Qi and Yin Deficiency
4. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, sharpen the ears and eyes, make the body light, make one free from hunger and prolong life. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生). Despite being a starchy vegetable, this may still have been an appropriate addition to a ketogenic diet as the starches are mostly resistant and many of its other compounds have been shown to have blood glucose reducing effects, making it a potential important source of this essential nutrient group while engaging in a low carbohydrate diet.

Standard Dosage: 5-30g in decoction. Very large doses, up to 500g have been used in trials for diabetes management.

Pinyin: Xuan Shen  Chinese: 玄參
Pharmaceutical: Radix Scrophulariae
Taxonomy: Scrophularia ningpoensis
English: Chinese Figwort Root / Ningpo Figwort Root

Tastes: Bitter, sweet, salty, light cold
Meridians Entered: Heart, Stomach, Kidney, Lung

Actions & Indications:

1. Clears Heat and cools the Blood
   Xue Stage Heat or Blood Heat with hemorrhage (hematemesis), fever, dry mouth and a purplish tongue
2. Nourishes Yin
   Yin Deficiency with Heat signs especially as sequelae from Warm Febrile Disease with Dry Lungs, insomnia, constipation, an unclear Shen and irritability
   Yin Deficiency dry Lungs
   Heart Yin Deficiency
   The Shen Nong Ben Cao Jing places it as a middle herb and indicates it is for "postpartum ailments in women, tonifies Kidney Qi and improves eyesight"
3. Softens hardness and dissipates nodules (Transforms Phlegm-Heat)
   Neck lumps (goiter, scrofula) due to Phlegm Fire
   Severe throat pain and swelling
   The Shen Nong Ben Cao Jing indicates it is for "abdominal distension"
4. Drains Fire and relieves Toxicity
   Extreme throat pain or red, swollen eyes
   Ying Stage Heat
   The Shen Nong Ben Cao Jing indicates it is for "heat accumulation"
5. Calms the Spirit agitated by Parasites damaging the Yin
   Gu Sydnrome (Fruehauf, 1998)
   Chronic inflammatory disease (Fruehauf, 2015)

Standard Dosage: 10-15g in decoction.
Cautions: It is contraindicated in cases of diarrhea due to spleen deficiency. It is antagonistic to Li Lu.

Pinyin: Bai Zhu  Chinese: 白朮
Pharmaceutical: Rhizoma Atractylodes macrocephalae
Taxonomy: Atractylodes macrocephala
English: Largehead Atracylodes Rhizome

Tastes: Sweet, bitter, warm
Meridians Entered: Spleen and Stomach

Actions & Indications:

1. Tonifies the Spleen and augments Qi
   Spleen and Stomach Deficiency with diarrhoea, fatigue, a sallow complexion and lack of appetite
   Spleen Yang failure to rise
2. Dries Dampness and promotes water metabolism
   Spleen Damp or accumulation of fluids affecting the digestion
   Edema and reduced urination due to Spleen Deficiency (failure to transform and transport)
   Tan Yin, masses, swelling
   Auxiliary for Damp painful obstruction
3. Stabilizes the Exterior and stops sweating
   Qi Deficiency with spontaneous sweating (Wei Qi Deficiency)
   With appropriate herbs, other types of sweating
4. Calms the fetus
   Restless fetus disorder due to Spleen Qi Deficiency
   With appropriate herbs, other types of Restless Fetus Disorder
5. Aids fasting
   Mentioned in the Shen Nong Ben Cao Jing as part of the superior class of herbs which can, with protracted taking, make the body light, prolong life and make one free from hunger. This may suggest it was part of supplementing the diet when engaging in an "avoiding grain" (Bigu 辟穀) fasting regime to cultivate life (Yangsheng 養生).

Standard Dosage: 6-12g in decoction.
Cautions: Use with cautions in cases of yin deficiency with fluid injury by dryness-heat pathogen.

Pinyin: Ji Nei Jin  Chinese: 鸡内金
Pharmaceutical: Endothelium Corneum Gigeriae Galli
English: Chicken Gizzard

Tastes: Sweet, bland
Meridians Entered: Spleen, Stomach, Small Intestine and Bladder

Actions & Indications:

1. Strongly reduces Food Stagnation and improves the Spleen's transportive function
   Food Accumulation in the digestive tract
   Food Stagnation due to Spleen Deficiency
   Childhood nutritional impairment
2. Astringes Jing and urine and stops enuresis
   Spermatorrhea, enuresis and urinary frequency
3. Transforms hardness and dissolves stones
   Urinary or biliary stones

Standard Dosage: 3-10g in decoction.
Cautions: Animal products are prohibited from use in the UK under the Medicines Act 1968 ch. 67 which restricts herbalists to the use of plant products only. It is generally substituted with Shan Yao and Mai Ya.

Pinyin: Niu Bang Zi  Chinese: 牛蒡子
Pharmaceutical: Fructus Arctii
Taxonomy: Arctium lappa
English: Burdock Seed

Tastes: Pungent, bitter, cold
Meridians Entered: Lung and Stomach

Actions & Indications:

1. Disperses Wind-Heat and benefits the throat
   Wind-Heat with fever, cough and sore throat
2. Relieves Toxicity and vents rashes
   Carbuncles, red swellings, early-stage measles, mumps, erythema, acute febrile maculo-papular rashes
   Incomplete expression of rashes
   Pruritic rashes due to Wind-Heat
3. Moistens the Intestines
   Wind-Heat toxins where there is also Internal Heat causing constipation
   Constipation associated with other forms of toxicity such as acne

Standard Dosage: 6-12g in decoction.
Cautions: It is not suitable for deficiency-cold loose stool because of its cold property and the action of lubricating the intestines.